Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.41 / $2,092.46 / $14,482.00	Facility		$1,237.41	$2,092.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.88 / $1,237.41 / $3,448.32	Professional		$787.88	$1,237.41	$3,448.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $951.99 / $2,637.65 / $5,960.90	Professional		$951.99	$2,637.65	$5,960.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,679.93 / $3,131.71 / $5,051.34	Facility		$2,679.93	$3,131.71	$5,051.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.67 / $3,121.21 / $4,276.39	Professional		$1,385.67	$3,121.21	$4,276.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,022.98 / $1,447.77 / $1,999.46	Facility		$1,022.98	$1,447.77	$1,999.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,115.98 / $5,266.00 / $15,126.00	Facility		$1,115.98	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,114.08 / $3,023.93 / $6,706.31	Professional		$1,114.08	$3,023.93	$6,706.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $622.06 / $2,026.48	Professional		$85.00	$622.06	$2,026.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,115.98 / $1,447.77 / $1,999.46	Facility		$1,115.98	$1,447.77	$1,999.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,990.30 / $3,062.00 / $3,829.47	Professional		$1,990.30	$3,062.00	$3,829.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,419.50 / $4,725.14 / $7,530.48	Professional		$1,419.50	$4,725.14	$7,530.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,481.55 / $2,481.55 / $2,481.55	Professional		$2,481.55	$2,481.55	$2,481.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,373.31 / $6,091.35 / $6,091.35	Professional		$2,373.31	$6,091.35	$6,091.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.08 / $2,795.49 / $4,224.28	Professional		$1,114.08	$2,795.49	$4,224.28